Strategy Advancement Advisor, UM and CM

Strategy Advancement Advisor, Utilization Management & Care Management Strategy

Become a part of our caring community and help us put health first. Join Humana's Utilization Management & Care Management Strategy team as a Strategy Advancement Advisor and apply your strategic thinking and analytical skills to drive business transformation. You will lead complex, cross-functional initiatives to improve clinical quality, cost management, and member and provider experiences. Working alongside a high-performing, multi-disciplinary team, you'll leverage data and insights to develop, recommend, and execute impactful strategies in close partnership with senior stakeholders across the enterprise. This role is ideal for candidates with strong strategic and analytical skills who thrive on delivering measurable impact. Success in this position requires a collaborative mindset, an ability to partner across functions to develop and implement high-value strategies, and a curiosity for uncovering insights in data to drive business improvements.

The Strategy Advancement Advisor, UM & CM Strategy will lead priority initiatives that may cut across utilization management, care management and other areas of the business including claims, product / IT, legal and compliance, etc. As part of this leadership, the Strategy Advancement Advisor will analyze complex problems using data and insights from internal and external sources, work collaboratively across teams and produce recommendations / plans to advance our clinical quality, cost and experience objectives.

In this role you will :

• Collaborate effectively with senior stakeholders and lead cross-functional teams to define opportunities, present findings, build cross-organizational alignment, and implement strategic initiatives.
• Evaluate and track performance of initiatives across UM and CM portfolio based on clinical (trend, Stars) and operational efficiency value.
• Oversee the planning, development, and implementation of tools and dashboards to support continuous performance monitoring and informed decision-making throughout project completion.
• Manage competing priorities and plan path to completion for medium to large enterprise efforts and initiatives including Management Team and Board requests.
• Bring expertise or identify subject matter experts to analyze and synthesize information, develop insights and produce recommendations based on company and external data analysis.

Required Qualifications :

Preferred Qualifications :

Additional Information :

Workstyle : remote, work from home

Work Location : Louisville, KY or Washington D.C. area preferred

Travel : quarterly travel anticipated

Typical work days / hours : Monday Friday, 8 : 00 am 5 : 00 pm EST

WAH Internet

To ensure Home or Hybrid Home / Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home / Office employees must meet the following criteria :

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home / Office employees with telephone equipment appropriate to meet the business requirements for their position / job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability.

Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours 40

Pay Range $115,200 - $158,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being.

Application Deadline : 10-24-2025

About us Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.